Intentions to smoke cigarettes among never-smoking us middle and high school electronic cigarette users: national youth tobacco survey, 2011–2013
Open accessAbstract
INTRODUCTION: Electronic cigarette (e-cigarette) use is increasing rapidly, and the impact on youth is unknown. We assessed associations between e-cigarette use and smoking intentions among US youth who had never smoked conventional cigarettes. METHODS: We analyzed data from the nationally representative 2011, 2012, and 2013 National Youth Tobacco Surveys of students in grades 6-12. Youth reporting they would definitely not smoke in the next year or if offered a cigarette by a friend were defined as not having an intention to smoke; all others were classified as having positive intention to smoke conventional cigarettes. Demographics, pro-tobacco advertisement exposure, ever use of e-cigarettes, and ever use of other combustibles (cigars, hookah, bidis, kreteks, and pipes) and noncombustibles (chewing tobacco, snuff, dip, snus, and dissolvables) were included in multivariate analyses that assessed associations with smoking intentions among never-cigarette-smoking youth. RESULTS: Between 2011 and 2013, the number of never-smoking youth who used e-cigarettes increased 3-fold, from 79,000 to more than 263,000. Intention to smoke conventional cigarettes was 43.9% among ever e-cigarette users and 21.5% among never users. Ever e-cigarette users had higher adjusted odds for having smoking intentions than never users (adjusted odds ratio = 1.70, 95% confidence interval = 1.24-2.32). Those who ever used other combustibles, ever used noncombustibles, or reported pro-tobacco advertisement exposure also had increased odds for smoking intentions. CONCLUSION: In 2013, more than a quarter million never-smoking youth used e-cigarettes. E-cigarette use is associated with increased intentions to smoke cigarettes, and enhanced prevention efforts for youth are important for all forms of tobacco, including e-cigarettes.
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Between 2011 and 2013, the use of e-cigarettes amongst teens tripled, with more than a quarter of a million youths having experimented with 'vaping' in 2013.
“Between 2011 and 2013, the use of e-cigarettes amongst teens has tripled with more than a quarter of a million youths having experimented with ‘vaping’ in 2013 (Bunnell et al. 2015).”
From <scp>N</scp> icotine and the adolescent brain (2015) · cites this paper as Bunnell et al. 2015
The Results (E-Cigarette Use) report that the estimated number of students who had never smoked cigarettes but had tried an e-cigarette rose more than threefold, from about 79,000 in 2011 to over 263,000 in 2013. The citing sentence omits the never-smoking restriction, so the paper does not establish a threefold increase among teens overall. The Methods (Measures) define this use as having tried an e-cigarette even once. (LLM, conf=0.88)
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- Authors
- Bunnell, R. E., Agaku, I. T., Arrazola, R. A., Apelberg, B. J., Caraballo, R. S., Corey, C. G., Coleman, B. N., Dube, S. R., & King, B. A.
- Affiliations
- Centers for Disease Control and Prevention (US)
- United States Food and Drug Administration (US)
- Georgia State University (US)
- ORCID
- Venue
- Nicotine & Tobacco Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-08-20
- Volume
- 17
- Issue
- 2
- Pages
- 228-235
- ISSN
- 1462-2203 (ISSN-L)
- 1469-994X
- PMC
- PMC4515756
- OpenAlex
- W2161818525
- Cited by
- 336
- References
- 41
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 5 · 2023: 8 · 2022: 9 · 2021: 18 · 2020: 15 · 2019: 29 · 2018: 48 · 2017: 49 · 2016: 70 · 2015: 61 · 2014: 10 · 2013: 1
- FWCI
- 42.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- public-domain
- Locations
- Nicotine & Tobacco Research (publishedVersion, public-domain)
- Europe PMC (PubMed Central) (publishedVersion, public-domain)
- PubMed Central (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Digital Archive @ GSU (submittedVersion, cc-by)
- HighWire Press Open Archive (submittedVersion)
- Counseling And Psychological Services Dissertations (Georgia State University) (submittedVersion, cc-by)
- Funders
- National Institutes of Health (CC999999)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- electronic cigarettes, smoking intention, adolescent tobacco use, tobacco use prevention
- MeSH terms
- Adolescent, Child, Female, Humans, Male, Surveys and Questionnaires, School Health Services, Smoking, Students, United States, Adolescent Health Services, Smoking Cessation, Intention, Electronic Nicotine Delivery Systems
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